ROSHAWN NICHOL WHITLEY (NPI# 1154849677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154849677 |
| Entity Type | Individual |
| Full Name | ROSHAWN NICHOL WHITLEY |
| Practice Address |
891 Maryland Ave Grand Rapids MI 49505 |
| Mailing Address |
891 Maryland Ave Ne Grand Rapids MI 49505-6005 |
| Practice Telephone | (616) 608-7778 |
| Practice Fax Number | 6166352036 |
| Mailing Telephone | 6166087778 |
| Mailing Fax Number | 6166352036 |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2017-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
891 MARYLAND AVE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285276097 | Molly Beth Kerkstra | Home Health Aide | 1115 Ball Ave Nw, Grand Rapids, MI 49505 | 2019-10-14 |
| 1447778923 | Kelly Benzin-brinks | Social Worker | 1965 3 Mile Rd Ne, Grand Rapids, MI 49505 | 2017-09-05 |
| 1033560404 | Taylor Nolan Boyd | Speech-Language Pathologist | 400 Ann St Ne Ste 106a, Grand Rapids, MI 49505 | 2016-06-28 |
| 1023465002 | Calvin Athy | Counselor | 1101 Ballave Ne, Grand Rapids, MI 49505 | 2016-05-19 |
| 1821456682 | Kelly Van Huisen | Counselor | 1115 Ball Avenue Ne, Building B, Grand Rapids, MI 49505 | 2016-02-08 |
| 1780051102 | Mark Squeteri | Social Worker | 1345 Monroe Ave Nw Ste 234, Grand Rapids, MI 49505 | 2015-09-02 |
| 1346637337 | Shelby Fullington | Social Worker | 1011 Ball Ave Ne, Grand Rapids, MI 49505 | 2015-04-17 |
| 1457745325 | Lester Anderson II | Social Worker | 1115 Ball Ave, Grand Rapids, MI 49505 | 2015-03-27 |
| 1730570151 | Nicole Brown | Counselor | 1345 Monroe Ave Nw Ste 204, Grand Rapids, MI 49505 | 2015-02-06 |
| 1548661630 | Rina Paniagua | Social Worker | 1115 Ball Se, Grand Rapids, MI 49505 | 2014-09-09 |
| Find all providers in zip 49505 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811503758 | Lynda Poupard | Technician | 12447 S River Rd, Grand Rapids, OH 43522-9604 | 2020-09-16 |
| 1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
| 1659983062 | Serena Selwyn | Technician | 2024 Edgewood Ave Se, Grand Rapids, MI 49546-5718 | 2020-08-18 |
| 1235755919 | Michael Scott | Technician | 3608 Camelot Dr Se, Grand Rapids, MI 49546-6072 | 2020-06-18 |
| 1861015075 | Michael Robert Capolino | Technician | 42 Carlton Ave Se, Grand Rapids, MI 49506-1649 | 2020-05-21 |
| 1568082121 | Deenea Forrest | Technician | 3500 Lake Dr Se, Grand Rapids, MI 49546-4310 | 2020-04-23 |
| 1922627983 | Jerica Moet Boss | Technician | 27 Holland Ave Ne, Grand Rapids, MI 49503-3536 | 2020-04-10 |
| 1235766270 | Cherri Apple Jones | Technician | 6281 Skipton Dr Sw, Grand Rapids, MI 49548-6701 | 2020-03-26 |
| 1841836665 | Ahnetra Williams | Technician | 4345 36th St Se, Grand Rapids, MI 49512-2963 | 2019-11-27 |
| 1982251872 | Tanner Jorritsma | Technician | 2037 Cambridge Dr Se, Grand Rapids, MI 49506-5235 | 2019-08-25 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49505 |
Please comment or provide details below to improve the information on ROSHAWN NICHOL WHITLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.